VIBHAKAR, RICKIN
NPI: 1609257765
· DECATUR, GA 30030
· General Practice Dentistry
· NPI assigned 06/15/2015
$595.87
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
74 |
$595.87 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
16 |
16 |
$231.70 |
| D0120 |
Periodic oral evaluation - established patient |
20 |
20 |
$142.91 |
| D0220 |
Intraoral - periapical first radiographic image |
23 |
23 |
$110.80 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$110.46 |